Branzuela, Bonifacio C.

HRN: 29-16-28  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/11/2026
CEFTRIAXONE 1G (VIAL)
06/11/2026
06/17/2026
IV
2g
OD
Uti
Remove - Pending Acceptance
06/13/2026
TENOFOVIR DISOPROXIL FUMARATE 300MG TAB
06/13/2026
06/19/2026
PO
300mg
OD
Hep B Infection
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: